Active NPIIndividual provider

Mr. Andre P Boulogne, DC

Chiropractor in Brighton, Massachusetts

NPI Number1225175458
Practice location
167 Corey Road, Brighton, MA 02135
Fax
617-731-3945
Last updated
July 8, 2007

Andre P Boulogne is a Chiropractor based in Brighton, MA. Andre P Boulogne practices in Brighton, MA and has the professional credentials of DC. The NPI Number for Andre P Boulogne is 1225175458 and holds a License No. 1878 (MA). The current practice location address for Andre P Boulogne is 167 Corey Road, Brighton, MA 02135 and can be reached out via phone at 617-731-5000 and via fax at 617-731-3945.

Provider Profile Details

NPI Number
1225175458
Provider Name
Andre P Boulogne
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
167 Corey Road, Brighton, MA 02135
Phone Number
617-731-5000
Fax Number
617-731-3945
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
No
Provider Enumeration Date
January 30, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
167 Corey Road
Brighton, MA 02135
Zip
02135
Phone Number
617-731-5000
Fax Number
617-731-3945
Brighton, MA 02135Get directions →

Provider Business Mailing Address Details

Address
167 Corey Road
Brighton, MA 02135
City
Brighton
State
MA
Zip
02135
Phone Number
617-731-5000
Fax Number
617-731-3945

License Information

License Number
1878
License State
MA
Taxonomy
Chiropractor · 111N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Andre P Boulogne, DC?

The NPI number of Mr. Andre P Boulogne, DC is 1225175458. It was assigned on January 30, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Andre P Boulogne, DC?

Mr. Andre P Boulogne, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in MA under license number 1878.

Where does Mr. Andre P Boulogne, DC practice?

The practice location is 167 Corey Road, Brighton, MA 02135. The office can be reached at 617-731-5000 (phone) or 617-731-3945 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225175458 directly on the NPPES registry website.

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